Evidence map›Paper›PMID 36845898›Full record

ArticleDrug and alcohol dependence reports2022

Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals.

Ashley L Merianos, Kayleigh Fiser, E Melinda Mahabee-Gittens, Michael S Lyons, Lara Stone, Judith S Gordon

Abstract read
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In one paragraph

Article in Drug and alcohol dependence reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ashley L MerianosUniversity of Cincinnati, School of Human Services, PO Box 210068, Cincinnati, OH, 45221-0068, United States.
Kayleigh FiserUniversity of Cincinnati, School of Human Services, PO Box 210068, Cincinnati, OH, 45221-0068, United States.
E Melinda Mahabee-GittensCincinnati Children's Hospital Medical Center, Division of Emergency Medicine, University of Cincinnati, College of Medicine, 3333 Burnet Avenue, MLC 2008, Cincinnati, OH, 45229, United States.
Michael S LyonsUniversity of Cincinnati, College of Medicine, Center for Addiction Research, Cincinnati, OH, United States.
Lara StoneCincinnati Children's Hospital Medical Center, Division of Emergency Medicine, 3333 Burnet Avenue, MLC 2008, Cincinnati, OH, 45229, United States.
Judith S GordonThe University of Arizona, College of Nursing, 1305 N Martin Avenue, PO Box 210203, Tucson, AZ, 85721-0203, United States.

Funding

Supplement: Contribution of Thirdhand Smoke to Overall Tobacco SmokeR01ES027815 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI MAHABEE-GITTENS, E. MELINDA, MATT, GEORG E · 2018 to 2022
$3.1M
Prevalence and Clinical Correlates of Thirdhand Smoke Exposure in a Pediatric Patient PopulationR01ES030743 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI MAHABEE-GITTENS, E. MELINDA · 2019 to 2023
$2.9M
Reducing Secondhand Smoke Exposure Among Pediatric Patients in the Emergency Department SettingK01DA044313 · NIDA · UNIVERSITY OF CINCINNATI · PI MERIANOS, ASHLEY L · 2017 to 2021
$727k
Distinguishing Exposure to Secondhand and Thirdhand Tobacco Smoke and Electronic Cigarettes among U.S. Children based on Multiple Biomarker ProfilesR21ES032161 · NIEHS · UNIVERSITY OF CINCINNATI · PI MERIANOS, ASHLEY L · 2020 to 2021
$467k
Pediatric Emergency Department Decision Support System to Reduce Secondhand SmokeR21CA184337 · NCI · CINCINNATI CHILDRENS HOSP MED CTR · PI GORDON, JUDITH SARAH, MAHABEE-GITTENS, E. MELINDA · 2015 to 2016
$401k
NCI NIH HHS R21 CA184337NIDA NIH HHS K01 DA044313NIEHS NIH HHS R01 ES027815NIEHS NIH HHS R01 ES030743NIEHS NIH HHS R21 ES032161
6 · The paper itself

Abstract

Background: Clinical Decision Support Systems (CDSS) embedded into electronic medical records is a best practices approach. However, information is needed on how to incorporate a CDSS to facilitate parental tobacco cessation counseling and reduce child tobacco smoke exposure (TSE) in Pediatric Emergency Department (PED) and Urgent Care (UC) settings. The objective was to explore the barriers and enablers of CDSS use to facilitate child TSE screening and parental tobacco cessation counseling by PED/UC nurses and physicians. Methods: We conducted 29 semi-structured, focused interviews with nurses ( Results: Participant mean (± SD) age was 42 (± 10.1) years; the majority were female (82.8%), non-Hispanic white (93.1%), and never tobacco users (86.2%); all were never electronic cigarette users. Four themes emerged: (1) explore optimal timing to complete CDSS screening and counseling during visits; (2) CDSS additional information and feedback needs; (3) perceived enablers to CDSS use, such as the systematic approach; and (4) perceived barriers to CDSS use, such as lack of time and staff. Conclusions: The CDSS intervention for child TSE screening and parental tobacco cessation during PED/UC visits received endorsements and suggestions for optimal implementation from nurses and physicians.

Indexed as

BPA, best practice alertCDSS, clinical decision support systemClinical decision support systeme-cigarette, electronic cigaretteED, emergency departmentEMR, electronic medical recordNRT, nicotine replacement therapyPediatric emergency departmentPED, pediatric emergency departmentTobacco cessation counselingTobacco smoke exposureTSE, tobacco smoke exposureUC, urgent careUrgent care

Identifiers

PMID36845898
PMCPMC9948809

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.